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{{Authors
|author1=[[User:Mikael Häggström|Mikael Häggström]]
|author2=
}}
'''Kidney stone disease''', also known as '''urolithiasis''', is when a calculus (kidney stone) occurs in the [[urinary tract]].<ref name=NIH2013>{{cite web|title=Kidney Stones in Adults|url=http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/kidney-stones-in-adults/Pages/facts.aspx|accessdate=22 May 2015|date=February 2013|deadurl=no|archiveurl=https://web.archive.org/web/20150511192215/http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/kidney-stones-in-adults/Pages/facts.aspx|archivedate=11 May 2015|df=dmy-all}}</ref>
==Planning==
===Need for imaging===
Imaging is indicated in cases of flank pain and hematuria.<ref name="BrisbaneBailey2016">{{cite journal|last1=Brisbane|first1=Wayne|last2=Bailey|first2=Michael R.|last3=Sorensen|first3=Mathew D.|title=An overview of kidney stone imaging techniques|journal=Nature Reviews Urology|volume=13|issue=11|year=2016|pages=654–662|issn=1759-4812|doi=10.1038/nrurol.2016.154}}</ref>
===Choice of exam===
*'''[[Ultrasonography of the urinary system]]''' is the first-line imaging modality for patients <14 years of age and those who are pregnant. It is also the first-line investigation for thin (BMI <30) patients and there is a strong suspicion of kidney stone disease.
*''[[Abdominal CT]] is recommended for older patients, as well as those who have higher BMI and/or less specific findings.<ref name="BrisbaneBailey2016"/>
==Evaluation==
<gallery>
File:Kidney stones abdominal X-ray.jpg|Bilateral kidney stones can be seen on this [[Kidneys, ureters, and bladder x-ray|KUB radiograph]]. There are [[phlebolith]]s in the pelvis, which can be misinterpreted as [[bladder stone]]s.
File:3mmstone.png|[[Transverse plane|Axial]] [[X-ray computed tomography|CT scan]] of abdomen without contrast, showing a 3-mm stone (marked by an arrow) in the left proximal [[ureter]]
File:Ultrasonography of renal stone located at the pyeloureteric junction.jpg|[[Renal ultrasonograph]] of a stone located at the pyeloureteric junction with accompanying hydronephrosis.
File:CT measurement of kidney stone in soft tissue and bone window.jpg|Measurement of a 5.6 mm large kidney stone in soft tissue versus skeletal [[CT_scan#Process|CT window]].
</gallery>
==Report==
*Stone size(s) and location.
*Hydronephrosis and its severity
==References==
{{reflist}}
|author1=[[User:Mikael Häggström|Mikael Häggström]]
|author2=
}}
'''Kidney stone disease''', also known as '''urolithiasis''', is when a calculus (kidney stone) occurs in the [[urinary tract]].<ref name=NIH2013>{{cite web|title=Kidney Stones in Adults|url=http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/kidney-stones-in-adults/Pages/facts.aspx|accessdate=22 May 2015|date=February 2013|deadurl=no|archiveurl=https://web.archive.org/web/20150511192215/http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/kidney-stones-in-adults/Pages/facts.aspx|archivedate=11 May 2015|df=dmy-all}}</ref>
==Planning==
===Need for imaging===
Imaging is indicated in cases of flank pain and hematuria.<ref name="BrisbaneBailey2016">{{cite journal|last1=Brisbane|first1=Wayne|last2=Bailey|first2=Michael R.|last3=Sorensen|first3=Mathew D.|title=An overview of kidney stone imaging techniques|journal=Nature Reviews Urology|volume=13|issue=11|year=2016|pages=654–662|issn=1759-4812|doi=10.1038/nrurol.2016.154}}</ref>
===Choice of exam===
*'''[[Ultrasonography of the urinary system]]''' is the first-line imaging modality for patients <14 years of age and those who are pregnant. It is also the first-line investigation for thin (BMI <30) patients and there is a strong suspicion of kidney stone disease.
*''[[Abdominal CT]] is recommended for older patients, as well as those who have higher BMI and/or less specific findings.<ref name="BrisbaneBailey2016"/>
==Evaluation==
<gallery>
File:Kidney stones abdominal X-ray.jpg|Bilateral kidney stones can be seen on this [[Kidneys, ureters, and bladder x-ray|KUB radiograph]]. There are [[phlebolith]]s in the pelvis, which can be misinterpreted as [[bladder stone]]s.
File:3mmstone.png|[[Transverse plane|Axial]] [[X-ray computed tomography|CT scan]] of abdomen without contrast, showing a 3-mm stone (marked by an arrow) in the left proximal [[ureter]]
File:Ultrasonography of renal stone located at the pyeloureteric junction.jpg|[[Renal ultrasonograph]] of a stone located at the pyeloureteric junction with accompanying hydronephrosis.
File:CT measurement of kidney stone in soft tissue and bone window.jpg|Measurement of a 5.6 mm large kidney stone in soft tissue versus skeletal [[CT_scan#Process|CT window]].
</gallery>
==Report==
*Stone size(s) and location.
*Hydronephrosis and its severity
==References==
{{reflist}}
